Which of the following is a characteristic of the manic stage of bipolar disorder?
Slow and sluggish movements
Feelings of extreme sadness and hopelessness
Increased energy and activity levels
Loss of appetite and weight loss
The Correct Answer is C
A. During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B. Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C. This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness.
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D. Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.
Correct Answer is D
Explanation
A. Patients on lithium do not need to avoid aged cheese and red wine specifically. The main dietary advice is to avoid significant changes in salt intake rather than specific foods like aged cheese or red wine.
B. Skin eruptions are not a common concern specifically linked to lithium therapy. While monitoring for side effects is important, skin changes are not typically a primary focus in lithium management.
C. Lithium use is not directly associated with routine blood pressure monitoring unless there is a specific concern about blood pressure or other cardiovascular issues. While monitoring blood pressure is important for overall health, it is not a specific requirement for patients on lithium unless there are other related concerns.
D. Monitoring blood levels of lithium is essential for managing the risk of toxicity and ensuring therapeutic efficacy. Lithium has a narrow therapeutic range, and regular blood tests are necessary to adjust dosages and avoid side effects.
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